effects of nutritional counseling regularity on the risk of cardiovascular diseases

Conditions: Cerebrovascular Disease

Summary: this study aims to investigate the frequency of personalized nutrition counseling's effect on individual cardiovascular risk factors. the study collected 110 to 150 cases data, including a regular blood test, blood glucose, blood lipid, liver panel, and inflammatory factors. the enrolled cases were classified into two groups according to the subjects' duration of consultation: those who completed the consultation and subsequent tests in \>24 weeks were in the control group, whereas those who completed the consultation and subsequent tests in \<24 weeks were in the test group. the effectiveness of nutrition consultation toward managing cardiovascular disease risk factors and its correlation with the subjects' frequency of following the consultations was analyzed using the pre- and post-consultation data. it was found that personalized nutrition consultation significantly improved the subjects' risk factors of cardiovascular diseases, and that the treatment group showed a greater improvement than the control group which who require over 24 weeks to complete all consultation sessions.

the most of interventional studies on nutrition consultation have generally emphasized on the extent to which the diet composition can prevent chronic diseases or provide improvement. although dietitians play an important role in health education for the primary prevention of chronic disease, their individuals dietary consultation results are mostly focused on weight loss and blood glucose control. however, the effectiveness of nutrition consultation on the prevention of chronic diseases, such as hyperlipidemia, hypertension and cardiovascular diseases, has few been studied. the effectiveness of dietary instructions provided to individuals by dietitians in primary health care institutes is yet to be validated with significant evidence. in addition, nutrition consultation methods, processes, and influencing factors on its results are seldom discussed. therefore, this study aims to investigate the frequency of personalized nutrition counseling's effect on individual cardiovascular risk factors. the study collected1 10 to 150 cases data who aimed to prevent or improve chronic diseases and had completed eight times individualized nutrition consultations from bon vivant health lifestyle management center, and the pre- and post-consultation data, including a regular blood test, blood glucose, blood lipid, liver panel, and inflammatory factors, will be analyzed. blood were drawn before and after the first and the last time consultation for biochemical tests; blood pressure and body composition was also measured for comparison. the enrolled cases will be classified into two groups according to the subjects' duration of consultation: those who completed the consultation and subsequent tests in \>24 weeks were in the control group, whereas those who completed the consultation and subsequent tests in \<24 weeks were in the test group. the effectiveness of nutrition consultation toward managing cardiovascular disease risk factors and its correlation with the subjects' frequency of following the consultations was analyzed using the pre- and post-consultation data. it was found that personalized nutrition consultation significantly improved the subjects' risk factors of cardiovascular diseases, and that the treatment group showed a greater improvement than the control group which who require over 24 weeks to complete all consultation sessions.

Eligibility criteria:
inclusion criteria: * age ≧ 20 * anyone of follow： body mass index \> 24 systolic blood pressure \> 120 mmhg diastolic blood pressure \> 80 mmhg triglyceride \> 150 mg/dl fasting blood glucose \>100 mg/dl exclusion criteria: * age \<20 * pregnant * mental problem * unable to do the measurement of body composition * incomplete the nutritional counseling program